In Audit
Aug 30th, 2017
One week after the release of the 2018 ICD-10-CM Official Guidelines by the Centers for Disease Control and Prevention (CDC), the agency released an errata with updated rules for diabetes mellitus, hypertension, and principal diagnosis. And while some publishers, like AAPC, were able to put their ICD-10-CMs to press with the new guidelines, it was too ...
Aug 30th, 2017
A new ransomware virus targeting healthcare organizations spreads via a Microsoft Word attached to emails. The messages are customized to appear they come from a trusted source in this new attack, dubbed Defray. Healthcare Dive reports that in one example, an attachment titled Patient Report used the logo of a hospital in the United Kingdom and ...
In Audit
Aug 28th, 2017
“A Brooklyn Chiropractor Received Unallowable Medicare Payments for Chiropractice Services,” declares the Office of Inspector General (OIG) in an August 2017 report. According to the report, the New York chiropractor received at least $672,000 in improper payments over a two-year period. There’s a lesson to be learned here for chiropractic coders. First, Some Background Chiropractic ...
In Coding
Aug 21st, 2017
When a non-physician practitioner (NPP) performs an incident to service, that NPP must follow the plan of care as prescribed. He or she may not independently change the course of treatment. This requirement appears in Chapter 15, Section 60 of the Medicare Benefit Policy Manual, as shown in bold text: … to have …[a] service covered as incident to ...
In Audit
Aug 15th, 2017
Effective June 15, 2017, the Office of Inspector General (OIG) now updates its Work Plan website, monthly. The OIG Work Plan sets forth various projects — including OIG audits and evaluations that are underway or planned — to be addressed during the fiscal year and beyond by OIG’s Office of Audit Services and Office of ...